Can a Self-etching Primer be Effective in Bonding Aligner Attachments to Different Types of Ceramics?

Objective: This in vitro study aimed to evaluate the effectiveness of pretreatment with a self-etching primer for bonding aligner attachments to lithium disilicate (LD) and monolithic zirconia (MZ) ceramics. Methods: Forty ceramics, including LD (n=20) and MZ (n=20), were divided into four study gro...

Full description

Bibliographic Details
Main Authors: Serpil Çokakoğlu, Ruhi Nalçacı, Subutay Han Altıntaş, Fatih Atıcı
Format: Article
Language:English
Published: Galenos Yayinevi 2024-03-01
Series:Turkish Journal of Orthodontics
Subjects:
Online Access: http://www.turkjorthod.org/archives/archive-detail/article-preview/can-a-self-etching-primer-be-effective-in-bonding-/64842
_version_ 1797226351326920704
author Serpil Çokakoğlu
Ruhi Nalçacı
Subutay Han Altıntaş
Fatih Atıcı
author_facet Serpil Çokakoğlu
Ruhi Nalçacı
Subutay Han Altıntaş
Fatih Atıcı
author_sort Serpil Çokakoğlu
collection DOAJ
description Objective: This in vitro study aimed to evaluate the effectiveness of pretreatment with a self-etching primer for bonding aligner attachments to lithium disilicate (LD) and monolithic zirconia (MZ) ceramics. Methods: Forty ceramics, including LD (n=20) and MZ (n=20), were divided into four study groups according to the surface pretreatments: LD specimens pretreated with universal primer (Monobond Plus, MP) after hydrofluoric acid etching (Group 1); MZ ceramics pretreated with MP after sandblasting (Group 2); LD ceramics pretreated with self-etching ceramic primer (Monobond etch & prime, MEP) (Group 3); and MZ ceramics pretreated with MEP after sandblasting (Group 4). The aligner composite (GC Aligner Connect) and universal adhesive (GPremio Bond) were used to prepare the resin attachments. The bond strength was evaluated by micro-shear bond strength (SBS) testing (0.1 mm/min) after thermocycling, and the remnant adhesive was scored according to the resin attachment remnant index (RARI). The SBS data were analyzed using ANOVA and Tukey tests, and the RARI scores were analyzed using the chi-square test. Results: Group 1 had the lowest SBS, and group 2 had the highest SBS. There were significant differences between the groups in terms of bond strength (p<0.05). The RARI scores showed no significant differences, regardless of the pretreatment and ceramic type. Conclusion: The use of a self-etching primer increased the bond strength of resin attachments on LD ceramics. For zirconia ceramics, both ceramic primers are recommended for aligner attachment bonding.
first_indexed 2024-04-24T14:23:32Z
format Article
id doaj.art-54689f3cd7dd4230a5394dede828fffb
institution Directory Open Access Journal
issn 2148-9505
language English
last_indexed 2024-04-24T14:23:32Z
publishDate 2024-03-01
publisher Galenos Yayinevi
record_format Article
series Turkish Journal of Orthodontics
spelling doaj.art-54689f3cd7dd4230a5394dede828fffb2024-04-03T05:42:19ZengGalenos YayineviTurkish Journal of Orthodontics2148-95052024-03-01371303510.4274/TurkJOrthod.2023.2022.17313049054Can a Self-etching Primer be Effective in Bonding Aligner Attachments to Different Types of Ceramics?Serpil Çokakoğlu0Ruhi Nalçacı1Subutay Han Altıntaş2Fatih Atıcı3 Pamukkale University Faculty of Dentistry, Department of Orthodontics, Denizli, Turkey Üsküdar University Faculty of Dentistry, Department of Orthodontics, İstanbul, Turkey İstinye University Faculty of Dentistry, Department of Prosthodontics, İstanbul, Turkey Private Practice, Medicaldent Oral and Dental Health Polyclinic, İzmir, Turkey Objective: This in vitro study aimed to evaluate the effectiveness of pretreatment with a self-etching primer for bonding aligner attachments to lithium disilicate (LD) and monolithic zirconia (MZ) ceramics. Methods: Forty ceramics, including LD (n=20) and MZ (n=20), were divided into four study groups according to the surface pretreatments: LD specimens pretreated with universal primer (Monobond Plus, MP) after hydrofluoric acid etching (Group 1); MZ ceramics pretreated with MP after sandblasting (Group 2); LD ceramics pretreated with self-etching ceramic primer (Monobond etch & prime, MEP) (Group 3); and MZ ceramics pretreated with MEP after sandblasting (Group 4). The aligner composite (GC Aligner Connect) and universal adhesive (GPremio Bond) were used to prepare the resin attachments. The bond strength was evaluated by micro-shear bond strength (SBS) testing (0.1 mm/min) after thermocycling, and the remnant adhesive was scored according to the resin attachment remnant index (RARI). The SBS data were analyzed using ANOVA and Tukey tests, and the RARI scores were analyzed using the chi-square test. Results: Group 1 had the lowest SBS, and group 2 had the highest SBS. There were significant differences between the groups in terms of bond strength (p<0.05). The RARI scores showed no significant differences, regardless of the pretreatment and ceramic type. Conclusion: The use of a self-etching primer increased the bond strength of resin attachments on LD ceramics. For zirconia ceramics, both ceramic primers are recommended for aligner attachment bonding. http://www.turkjorthod.org/archives/archive-detail/article-preview/can-a-self-etching-primer-be-effective-in-bonding-/64842 aligner attachmentceramicself-etching primershear bond strength
spellingShingle Serpil Çokakoğlu
Ruhi Nalçacı
Subutay Han Altıntaş
Fatih Atıcı
Can a Self-etching Primer be Effective in Bonding Aligner Attachments to Different Types of Ceramics?
Turkish Journal of Orthodontics
aligner attachment
ceramic
self-etching primer
shear bond strength
title Can a Self-etching Primer be Effective in Bonding Aligner Attachments to Different Types of Ceramics?
title_full Can a Self-etching Primer be Effective in Bonding Aligner Attachments to Different Types of Ceramics?
title_fullStr Can a Self-etching Primer be Effective in Bonding Aligner Attachments to Different Types of Ceramics?
title_full_unstemmed Can a Self-etching Primer be Effective in Bonding Aligner Attachments to Different Types of Ceramics?
title_short Can a Self-etching Primer be Effective in Bonding Aligner Attachments to Different Types of Ceramics?
title_sort can a self etching primer be effective in bonding aligner attachments to different types of ceramics
topic aligner attachment
ceramic
self-etching primer
shear bond strength
url http://www.turkjorthod.org/archives/archive-detail/article-preview/can-a-self-etching-primer-be-effective-in-bonding-/64842
work_keys_str_mv AT serpilcokakoglu canaselfetchingprimerbeeffectiveinbondingalignerattachmentstodifferenttypesofceramics
AT ruhinalcacı canaselfetchingprimerbeeffectiveinbondingalignerattachmentstodifferenttypesofceramics
AT subutayhanaltıntas canaselfetchingprimerbeeffectiveinbondingalignerattachmentstodifferenttypesofceramics
AT fatihatıcı canaselfetchingprimerbeeffectiveinbondingalignerattachmentstodifferenttypesofceramics